School nurses across the country have to reconcile health care providers’ specific emergency action plan for their patients with the school standards and the “American Academy of Asthma, Allergy, and Immunology guidelines.”  The differences between the two can create confusion and risk in nurses not using the appropriate treatment for its students.  School nurses have the special position of being able to work with both health care providers and parents of students in determining a treatment option (Wahl et al. 2015, 97).